Provider Demographics
NPI:1346998895
Name:MINDFUL HEALING PLLC
Entity Type:Organization
Organization Name:MINDFUL HEALING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:FLATTERY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-809-0848
Mailing Address - Street 1:706 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-2303
Mailing Address - Country:US
Mailing Address - Phone:515-809-0848
Mailing Address - Fax:
Practice Address - Street 1:706 8TH ST SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-2303
Practice Address - Country:US
Practice Address - Phone:515-809-0848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty